杭州市老年人生存现状与社区服务需求调查

目的了解杭州市老年人的生存现状和服务需求，为政府决策部门提供参考依据。方法采用自设问卷及ADL量表对杭州市925名老年人的一般情况、经济状况、患病情况、生活活动能力及服务需求等进行面对面的访淡调查，数据经SPSS 13．0软件进行χ^2检验和Kruskal-Wallis H检验。结果老年人文化程度较低，经济状况尚好，婚姻生活较稳定，较少从事职业活动；老年人生活满意度较高，高于健康满意度；81．5％的老年人患有各种慢性病，生活不能完全自理者达21．8％，空巢比例达65．3％，老年人对社区活动、定期探访、健康咨询、家庭护理与康复的需求较高。结论杭州市老年人生存现状尚好，生活满意较高，但老年人患病率高、空巢比例高，针对高龄化趋势，老年人精神文化生活、生活照料及社区卫生服务特别是家庭护理体系亟待更好建立和完善。

Living condition and healthcare demand of elderly adults in Hangzhou

Objective To find out the living condition of the elderly adults and their needs for community healtbcare services so as to provide evidence-based guidance for our government. Methods A total of 925 participants aged 〉 60 years were personally interviewed for questionnaire and ADL scale evaluation. Chi-square test and Kruskal-Wallis H test were used for data analysis. Results The subjects showed relatively lower education level and the illiteracy rate was high. Their marriage was stable and a decreased divorce rate was found. The economic situation was satisfactory. Their life satisfaction was far beyond the health satisfaction. Most of the elderly did not live with their offspring,although 21.8% could not take care of themselves. The prevalence rate of chronic diseases was 81.5% ,which resulted in more demands for social activities, health consultation, rehabilitation nursing, and home healthcare services in the community. Conclusion They need to pay more attention to physical and mental health of the elderly. A community healthcare system that could provide services in an-all-round way,including medical care, should be established and improved.